India produces around 42 million tons of municipal solid waste annually, but waste management is inadequate with most cities relying on crude dumping rather than proper collection, segregation, processing, and disposal. Proper management is lacking due to issues like lack of funds, expertise, community participation, and segregation of waste at source. The document recommends solutions like outsourcing waste management, public-private partnerships, increasing segregation and processing of waste, and using funds allocated by the 12th Finance Commission.